RT Book, Section
A1 Doherty, Gerard M.
SR Print(0)
ID 58114486
T1 Incisional (Ventral) Hernia
T2 Quick Answers Surgery
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 
LK accesssurgery.mhmedical.com/content.aspx?aid=58114486
RD 2024/04/24
AB •  Bulge  elicited  by  the  Valsalva  maneuver  immediately  over  or  adjacent  to  a  laparotomy  incision•  Main  complaint  associated  with  ventral  hernias  is  the  cosmetic  appearance•  Patients  may  note  discomfort  or  a  heaviness  sensation  associated  with  the  hernia  bulge•  Small  incisional  hernia  defects  appear  to  be  most  dangerous  and  are  more  commonly  associated  with  an  incarcerated  presentation•  The  fascial  defects  progressively  increase  in  size  and  may  result  in  loss  of  abdominal  domain•  Classification  of  incisional  hernias:-Reducible:  Visceral  contents  of  the  hernia  sac  able  to  retract  into  the  abdominal  cavity-Incarcerated:  Visceral  contents  cannot  be  returned  to  the  abdominal  cavity-Strangulated:  Incarcerated  hernia  where  the  blood  flow  to  the  entrapped  viscera  is  compromised